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Case Report
Sepsis secondary to gastric reservoir after vertical gastrectomy
1 MD, General surgeon, Division of General Surgery/Laparoscopy, Centro Médico de Especialidades, Ciudad Juárez, Chihuahua, Mexico
2 MD, General surgeon, Bariatric surgeon, Division of General Surgery/Laparoscopy, Centro Médico de Especialidades, Ciudad Juárez, Chihuahua, Mexico
3 MD, General physician, Instituto de Ciencias Biomédicas, Universidad Autónoma de Ciudad Juárez, Ciudad Juárez, Chihuahua, Mexico
Address correspondence to:
Danai Hernández Carreón
Vicente Guerrero 8907, Fraccionamiento Las Quintas 32401,
Mexico
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Article ID: 100062S05SC2025
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How to cite this article
Cereceres SJR, Jaime CAL, Avilez CTP, Carreón DH. Sepsis secondary to gastric reservoir after vertical gastrectomy. Edorium J Surg 2025;11(1):7–11.ABSTRACT
Introduction: As obesity rates have increased worldwide, bariatric surgery has become the most successful and long-lasting treatment for patients with obesity. Ever since, laparoscopic sleeve gastrectomy has gained popularity in recent years and has become the most popular bariatric procedure performed due to its effectiveness in weight loss and for being easier than other bariatric procedures.
Case Report: A 55-year-old female who underwent laparoscopic vertical gastrectomy three weeks prior to her evaluation due to epigastralgia, fever, nausea and vomiting. She was first evaluated by a surgeon, who performed surgical procedures on a weekly basis and assessed no signs of peritoneal alarm and a granuloma at the abdominal wall. Diagnostic protocol was initiated based on ultrasound, demonstrating a fistulous tract through the skin with communication to the abdominal cavity and a collection in the abdominal wall. Simple abdominal tomography was performed which demonstrated a collection in the peritoneal cavity, as well as an abscess. The patient was admitted with a diagnosis of gastric fistula plus peritoneal and abdominal wall abscess. Preoperative tests showed leukocytosis and thrombocytosis. Diagnostic laparoscopy was carried out, identifying a large plastron toward the epigastrium and a residual abscess, in addition to an apparent gastric reservoir from the gastrectomy performed.
Conclusion: Nowadays, bariatric surgery is considered extremely safe, especially since the introduction of the laparoscopic approach. This case shows a complication secondary to the high demand for bariatric procedures that lead to leaving the gastric reservoir after the gastrectomy which can lead to death.
Keywords: Gastric reservoir, Postoperative complications, Sepsis, Vertical gastrectomy
SUPPORTING INFORMATION
Acknowledgments
We thank the staff of Centro Medico de Especialidades for their support and constant drive to learn.
Author Contributions:Saul Jasam Ruiz Cereceres - Substantial contributions to conception and design, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Cesar Alberto López Jaime - Substantial contributions to conception and design, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Carlos Tadeo Perzabal Avilez - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Danai Hernández Carreón - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Saul Jasam Ruiz Cereceres et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
